Humana's Health Resources guidance reaches multiple audiences:
Resources for everyone
HumanaFirst®
Toll-free, 24-hour-a-day access to a registered nurse
Employee Assistance Program
Services from LifeSynch, a leader in behavioral health
Member Guidance
Employers have the option of requesting a personalized welcome kit for employees enrolled in a Humana plan
See our member resources for more information:
e-PlanProfessorSM
A free electronic newsletter for Humana members – delivers helpful health news and benefits tips
See our member resources to view samples:
MyHumana
Password-protected health and benefits information
See our member resources:
Resources to address specific health situations
HumanaBeginnings®
Program for mothers-to-be
Case Management
Services for members with serious health conditions
Neonatal Case Management
Support for parents of children in Neonatal Intensive Care
Related Links
Transplant Services
Helping members coordinate services and benefits
Maximize Your Benefit
Pharmacy program that alerts members about lower-cost medication alternatives
Resources to address chronic illness and long-term health
Personal Nurse®
One-on-one support to help members reach health goals
Disease Management
Specialized education and support for 19 conditions
Clinical Review
In the Clinical Review process, Humana and providers can work together to be sure members receive appropriate care and get the most value from their benefits. Methods include:
Standardized review list:
- Highly recommended for all ASO business
- Continually managed for consistent service
Enhanced concurrent review process:
- Examines all inpatient admissions that Humana receives notice about – application of Solucient length-of-stay guidelines
- Case management integration to assist providers with care coordination and discharge planning
The bottom line
Humana continues to provide traditional approaches to addressing costs for customers who desire these services.
Radiology Consultation – RadConsult
This service, which is provided by HealthHelp, offers peer-to-peer support for doctors. Providers receive clinical appropriateness evaluation and consultation for MRI, CT, and PET. Consultation is available by phone, fax, or Internet. The service allows for real-time reporting of provider performance.
The bottom line
- More than 40,000 calls per month
- 96 percent completion within two hours; 100 percent within 48 hours
- Monthly savings of more than $2.6 million
These programs and tools are not insurance products and are not guaranteed under any contract. Humana is not required to provide these services.
